ADESÃO AO TRATAMENTO DE PORTADORES DE HIPERTENSÃO ARTERIAL

Abstract

Arterial Hypertension (HT) is considered an illness of great magnitude, classified as a multi-factorial clinical entity of asymptomatic nature, regarded as a syndrome and characterized by the presence of high levels of arterial pressure (AP), associated to metabolic and hormonal alterations as well as atrophic phenomena. It is estimated that, in Brazil, HT affects 15% to 20% of the adult population; 2% to 13% of children and adolescents; 65% of the senior population and around 80% among women over 75 years old. Due to the severity and possible complications of this disease, a study was conducted on the treatment adhesion of HT patients. By adhesion, it is meant the establishment of a joint activity, in which the patient is not a mere follower of medical advice, but that contemplates and it makes relative decisions the prescribed recommendation. It is a dynamic process, with multi-determination and coresponsibility between the patient and the heath care team. The research was developed at the Reference Center of Hypertension and Diabetes CRHD) of Rio Verde/GO and had as its objectives: identify the socio-demographic and clinical profile of the HD patient; analyze quantitative indicators of adhesion; correlate the quantitative indicators of adhesion to HD treatment with the socio-demographic and clinical data; verify which and how the multidimensional factors influence the degree of adhesion to the treatment of hypertension disease, and verify the health beliefs of the HD patient. The dissertation is divided into three chapters. The first refers to the literature review, titled Arterial Hypertension: a worldwide public health phenomenon which deals with treatment adhesion in regard to the concepts, presumptions and relevancy, as well as the multidimensional and complex factors of adhesion and the methods of evaluating. The second chapter refers to an article of quantitative subject, titled Analysis of indicators related to the degree of treatment adhesion of HD patients and the third chapter refers to an article of qualitative study, designated Analysis of relative significance to treatment adhesion of HD patients .